Integris Grove Hospital
A Medicare group practice based in Grove, OK: 6 NPIs enrolled under one PECOS associate control ID (PAC ID 0042105835), with 19 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 0042105835
- Provider type
- DME Supplier - Medical Supply Company, Part A Provider - Hospital, Part A Provider - Rural Health Clinic, Part B Supplier - Clinic/Group Practice
- Enrolled in
- OK
- Enrollments
- 5
- Group size
- 12 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 8
Enrollment records 5
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20040223000165 | OK | Part A Provider - Hospital | 1467473579 |
| O20040219000842 | OK | Part B Supplier - Clinic/Group Practice | 1134720592 |
| O20210427002525 | OK | Part A Provider - Rural Health Clinic | 1134720592 |
| O20210421002864 | OK | Part A Provider - Rural Health Clinic | 1689274391 |
| O20100930064711 | OK | DME Supplier - Medical Supply Company | 1669486684 |
NPIs in this group 6
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Integris Grove Hospital
- Rural Health Clinic/Center
- Grove, OK
- NPI 1134720592
-
Integris Grove Hospital
- General Acute Care Hospital
- Grove, OK
- NPI 1467473579
-
Integris Grove Hospital
- Durable Medical Equipment & Medical Supplies
- Grove, OK
- NPI 1669486684
-
Integris Grove Hospital
- Rural Health Clinic/Center
- Grove, OK
- NPI 1689274391
-
Integris Grove Hospital
- Rural Health Clinic/Center
- Vinita, OK
- NPI 1275133993
-
Integris Grove Hospital
- Ambulance
- Grove, OK
- NPI 1770626608
Practice locations
- Grove, OK7
- Vinita, OK1
Clinicians 19
Clinicians who reassign their Medicare benefits to this group (17) or whom Care Compare lists as members (12).
-
Shealyn Berry, CNP
- Family Nurse Practitioner
- Grove, OK
- NPI 1407416548
-
Amber Christine Duncan, PA
- Physician Assistant
- Grove, OK
- NPI 1801505334
-
Lori H Finley, MD
- Pediatrics Physician
- Albuquerque, NM
- NPI 1548354913
-
Christopher Gray, NP
- Family Nurse Practitioner
- Grove, OK
- NPI 1104468560
-
Joseph Gregory, APRN
- Nurse Practitioner
- Grove, OK
- NPI 1891454062
-
Janelle R Harding, APRN
- Family Nurse Practitioner
- Miami, OK
- NPI 1801889597
-
Judy Rachele Hargis, APRN
- Family Nurse Practitioner
- Grove, OK
- NPI 1801581004
-
Stacia Kaylee Homan, APRN, PNP-PC
- Pediatric Nurse Practitioner
- Grove, OK
- NPI 1679371983
-
Thomas Nyota Kamumo, PA
- Physician Assistant
- Miami, OK
- NPI 1720752314
-
Danielle Kerns, APRN
- Family Nurse Practitioner
- Miami, OK
- NPI 1992587430
-
Vitaliy Krylov, MD
- Family Medicine Physician
- Grove, OK
- NPI 1427431253
-
Kelly Patricia Long, APRN, CPNP
- Pediatric Nurse Practitioner
- Grove, OK
- NPI 1447551817
-
James Dull Rutter IV, MD
- Internal Medicine Physician
- Grove, OK
- NPI 1649258369
-
Caitlin Schaede, D.O.
- Pediatrics Physician
- Grove, OK
- NPI 1255870820
-
Ashley Rose Thomas, APRN-CNP-F
- Family Nurse Practitioner
- Grove, OK
- NPI 1851893036
-
Dustin Allen Thompson, DO
- Family Medicine Physician
- Durant, OK
- NPI 1255826889
-
Haley Jo Wigelsworth, APRN
- Family Nurse Practitioner
- Grove, OK
- NPI 1710682935
-
Angela R Williams, NP
- Nurse Practitioner
- Miami, OK
- NPI 1700392537
-
Phillip Scott Williams, DO
- Family Medicine Physician
- Grove, OK
- NPI 1245522549
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.